All questions marked by an asterisk are required

Event Name: 2013-2014 Scholarship Field Trip Form

Thank you for submitting your Scholarship Field Trip reservation request online. Please provide all of the information requested in this form and our staff will contact you directly to confirm the details of your reservation and scholarship application. The first e-mail you will receive will be a confirmation of your REQUEST, not a confirmation of your RESERVATION.

*Which Scholarship would you like to be considered for?
If you are applying for the Boddie or Jupiter Ball scholarship, would you prefer a field trip to Morehead, or to receive a visit from one of Morehead's external programs (DESTINY, DREAMS or PLANETS) :
A field trip to Morehead
DESTINY   {View Details}
DREAMS   {View Details}
PLANETS   {View Details}
I don't have a preference

Please provide three possible dates for your visit, in order of preference. Shows are not available on Mondays. Some scholarships may have restrictions.

Please note that due to our limited finances and overwhelming number of applications we appreciate accurate reporting of information (student/chaperone numbers, available dates to visit, etc.) in order to maximize our efforts to provide scholarships to all who requested financial assistance.

*Do you plan to eat lunch during your visit?
*Do you plan to visit the Gift Shop?
What are your transportation options?
*Which Planetarium show(s) would you like to see?
Select all that apply:
One World, One Sky: Big Bird's Adventure (Pre-K)
Magic Tree House Space Mission (Grades K-3)
Earth, Moon and Sun (Grades 1-5)
Solar System Odyssey (Grades 3-8)
Carolina Skies - Upper Elementary (Grades 3-5)
Carolina Skies - Middle and High School (Grades 6-12)
Astronaut (Grades 4-12)
Wildest Weather in the Solar System (Grades 4-12)
Black Holes: Journey into the Unknown (Grades 4-12)
Heart of the Sun (Grades 4-12)
Galileo: the Power of the Telescope (Grades 4-12)
We will not see a Planetarium show
*Which Science Live! programs would you like to see?
Select all that apply:
Phenomenal Physics (Grades 2-12)
Magnificent Matter (Grades 2-12)
Human Body Test (Grades 2-12)
Science Showtime (Grades K-1)
We will not see a Science Live! program
*Which Discovery Classes would you like to reserve?
Select all that apply:
Round and Round We Go! (Grades 3-4)
Solar Systematics (Grades 3, 5-7)
Built to Tilt (Grades 5-6)
Discovering Our State (Grade 4)
We will not reserve a Discovery Class

Please keep in mind that each scholarship only funds one show.

*How would you prefer to be contacted to review and confirm your reservation?
  {Checking this option will save your information for future registrations}


After you hit the "submit" button, you should receive an e-mail confirmation within 15 minutes.